Criteria for intensive care unit admission and severity of illness

Stretch, Benjamin; Shepherd, Stephen J.

doi:10.1016/j.mpsur.2020.11.004

Cited by 22 publications

(15 citation statements)

References 6 publications

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“…Patient safety is a paramount concern in healthcare, with the World Health Organization designating “Patient Engagement and the Maintenance of Patient Safety” as the theme for World Patient Safety Day 2023 [ 1 – 3 ]. Among all the medical units, the intensive care unit (ICU) offers the highest level of life support, offering meticulous monitoring and care to patients [ 4 ]. However, the demanding workload of ICU nurses, complex patient conditions, and dynamic environment place ICU patients at a heightened risk for adverse events [ 5 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity assessment of the Chinese version of the Intrahospital Transport Safety Scale (IHTSS) in intensive care units

Li,

Hou,

Deng

et al. 2024

BMC Nurs

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Background Intrahospital transport of critically ill patients is a common practice in intensive care units (ICUs), where patients’ safety is constantly challenged in high-intensity and dynamic environments. While Intrahospital Transport Safety Scale (IHTSS) is widely used internationally to evaluate the intrahospital transport safety, it has not been introduced in China. Objectives This study aimed to assess the reliability and validity of the Chinese version of the IHTSS scale among critical care nurses in China. Methods A cross-sectional study was conducted using a cluster sampling method. A total of 544 critical care nurses from 25 ICUs in 10 tertiary hospitals were recruited. We employed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to examine the questionnaire’s underlying factor structure, ensuring construct validity. Additionally, internal consistency was assessed using Cronbach’s alpha coefficient, test-retest reliability, and corrected item-total correlation. Results The Chinese version of the scale displayed robust psychometric properties, with a Cronbach’s α coefficient of 0.976, a split-half reliability of 0.906, and a test-retest reliability of 0.856. EFA revealed a robust four-factor model that accounted for 75.970% of the variance, with the factor loadings of the items ranging from 0.433 to 0.951. CFA indicated a strong model fit, with a chi-square to degrees of freedom ratio (CMIN/DF) of 2.765, comparative fit index (CFI) of 0.943, incremental fit index (IFI) of 0.943, and goodness-of-fit index (GFI) of 0.845, supporting the efficacy of the four-factor model in assessing intrahospital transport safety for critically ill patients. Conclusion The Chinese version of the IHTSS demonstrated favourable reliability and validity among critical care nurses in China, making it a suitable tool for measuring the level of intrahospital transport safety for critically ill patients.

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Section: Introductionmentioning

confidence: 99%

Reliability and validity assessment of the Chinese version of the Intrahospital Transport Safety Scale (IHTSS) in intensive care units

Li,

Hou,

Deng

et al. 2024

BMC Nurs

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“…However, continuously monitoring a patient for hours at a time is both costly and labor-intensive [3]. Studies have revealed a low doctor-patient ratio in the ICU [4]. Consequently, long-term monitoring of patients in the ICU results in significant physical and psychological strain on the medical staff.…”

Section: Introductionmentioning

confidence: 99%

Face-tracking algorithm for large-amplitude head motions with a 7-DOF manipulator

et al. 2023

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The collection of facial action data is essential for the accurate evaluation of a patient’s condition in the intensive care unit, such as pain evaluation. An automatic face-tracking system is demanded to reduce the burden of data collection on the medical staff. However, many previous studies assume that the optimal trajectory of a robotic tracking system is reachable which is inapplicable for large-amplitude head motions. To tackle this problem, we propose a region-based face-tracking algorithm for large-amplitude head motion with a 7-DOF manipulator. A configuration-based optimization algorithm is proposed to trade-off between theoretical optimal pose and workspace constraints through the assignment of importance weights. To increase the probability of recapturing the face exceeding the reachable workspace of the manipulator, the camera is directed toward the center of the head, named the facial orientation center (FOC) constraint. Furthermore, a region-based tracking approach is designed to stabilize the manipulator for small amplitude head motions and smooth the tracking trajectory by adjusting the joint angle in the null space of the 7-DOF manipulator. Experimental results demonstrate the effectiveness of the proposed algorithm in tracking performance and finding an appropriate configuration for the unreachable theoretical optimal configuration. Moreover, the proposed algorithm with FOC constraint can successfully follow the head motion as losing 33.2% of the face during the tracking.

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“…According to the American Hospital Association's guidelines, patients are categorized based on their condition as undetermined, good, fair, serious, and critical [4]. Based on that, critical patients with life-threatening conditions are usually admitted to intensive care units for intensive monitoring [5]. In contrast, patients with more stable vital signs and less disease severity are usually admitted to regular hospital floors (noncritical areas).…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Study Investigating the Current Practices, Obstacles, and Needs of Enteral Nutrition Support among Registered Dietitians Managing Non-Critically Ill Hospitalized Patients in Riyadh, Saudi Arabia

Alsoqeah

Alyumni

Alruwaili

et al. 2023

Saudi J Health Syst Res

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Introduction: Despite the wide availability of international guidelines that direct enteral nutrition practices, no recommendations or guidelines are tailored specifically for the unique healthcare environment in Saudi Arabia. Specifically tailored national guidelines are considered essential evidence that should be developed and followed. However, understanding the current practices, local needs, and gaps is important to facilitate the process of developing a practical national guideline. Methodology: In this qualitative study, focus groups using a structured interview technique were conducted to gain an in-depth understanding of the current enteral nutrition practices and related needs/obstacles from 24 registered dietitians handling non-critically ill patients. The recorded sessions were transcribed, and then themes were identified via coding analysis. In addition, the inter-rater agreement of the data’s themes was evaluated. Results: Five focus group sessions that consisted of 24 participants (3 males and 21 females) working in private and governmental hospitals (18 governmental and 6 private) in Riyadh city were conducted. Ten enteral nutrition practice-related themes for non-critically ill patients were identified via coding analysis, in addition to four obstacle-related themes and four need-related themes. Conclusion: Non-critically ill patients represent the most significant majority of hospitalized patients. Therefore, it is recommended for the relevant regulatory authorities to develop national enteral nutrition guidelines and policies that guarantee consistent and sustainable care, along with improving the health outcomes for this population.

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Criteria for intensive care unit admission and severity of illness

Cited by 22 publications

References 6 publications

Reliability and validity assessment of the Chinese version of the Intrahospital Transport Safety Scale (IHTSS) in intensive care units

Reliability and validity assessment of the Chinese version of the Intrahospital Transport Safety Scale (IHTSS) in intensive care units

Face-tracking algorithm for large-amplitude head motions with a 7-DOF manipulator

A Qualitative Study Investigating the Current Practices, Obstacles, and Needs of Enteral Nutrition Support among Registered Dietitians Managing Non-Critically Ill Hospitalized Patients in Riyadh, Saudi Arabia

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